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1518377134
JUSTIN TRAVIS GREENLAW
GRAND RAPIDS, MI
NPI
1518377134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001195)
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
-- JUSTIN TRAVIS GREENLAW AT, ATC
4100 LAKE DR SE #305
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
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Mailing Address
-- JUSTIN TRAVIS GREENLAW AT, ATC
4100 LAKE DR SE #305
GRAND RAPIDS, MI 49546
Phone number: 616-267-8860
Copy
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